Att 4_Screenshots_FINAL

Att 4_Screenshots_FINAL.doc

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Gonococcal Isolate Surveillance Project

OMB 0920-0307

Robert Kirkcaldy, Project Officer

Attachment 4

Screen shots of web-based application

Screenshot of Form 1 Main Menu:

Screenshot of Form 1 data entry:

Screenshot of Form 2 and Form 3 Welcome Page:

Screenshot of Form 2 Main Menu:

Screenshot of Form 2 data entry:

Screenshot of Form 3 Main Menu:

Screenshot of Form 3 data entry:

Screenshot of Form 3 data entry (cont’d):

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File Type	application/msword
Author	Alesia Harvey
Last Modified By	Bonds, Constance (CDC/OID/NCHHSTP)
File Modified	2013-07-09
File Created	2013-07-09